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Telehealth offers opportunities to extend clinical and research interventions for pediatric obesity.

Objectives

To assess utility of a telephone intervention, implemented through a national primary care pediatric research network, for promoting differentiation in dietary intake, consistent with either a low-glycemic load (Low GL) or Low Fat prescription, among overweight/obese school-age children.

Subjects were randomized to Low GL (n=11, 8.1±1.7 years, 45.5% male) or Low Fat (n=11, 8.2±2.0 years, 36.4% male), with no baseline differences. Overall, 86% of subjects attended at least 4 of 5 counseling sessions, and study completion rate was 91% (based on completion of the final dietary recalls). Reported satisfaction was high. In adjusted analyses limited to “recall completers,” reduction in dietary GL (g/1000 Kcal) achieved within the Low GL group was significant (p=0.01) and greater than the change in dietary GL in the Low Fat group (mean ± SE; −12.9 ± 4.4 vs. 5.1 ± 4.9, p=0.03). Similarly, reduction in dietary fat (% of total energy) within the Low Fat group was significant (−5.6 ± 2.5, p=0.046) but with no difference between groups (p=0.25).

IntroductionThe objective of this pilot 6-month randomized controlled trial was to determine the effectiveness of an intensive, community-based, group intervention that focused on diet, physical activity, and peer support for reducing weight among ur...

BackgroundRecent studies have demonstrated the effectiveness of family-centered, pediatric weight management programs in reducing childhood obesity. Yet, programs to optimize the care of low-income children with obesity are needed. We sought to exami...

IntroductionDietary fat and low fruit and vegetable intake are linked to many chronic diseases, and U.S. population intake does not meet recommendations. Interventions are needed that incorporate effective behavior-change principles and that can be d...

IntroductionResearch indicates that low fruit and vegetable intake is a risk factor for many chronic diseases. Despite large-scale education campaigns, the great majority of Americans do not consume recommended levels. We tested the ability of a sing...

ObjectiveTo evaluate whether the evidence-based Body & Soul program, when disseminated and implemented without researcher or agency involvement and support, would achieve similar results to earlier efficacy and effectiveness trials.DesignProspective ...